Transfer Now

Date: 2/24/2018

To Whom It May Concern,

RE: CHANGE OF SERVICING ADVISER

Please be advised that I have changed my financial advisor to Change Group Holdings Pty Ltd ATF The Change Brokers Trust, a Corporate Authorised Representative of Professional Investment Services. Their office will be providing ongoing service advice regarding my insurance.

I hereby authorise you to provide information regarding my insurance details from the records held within your office to Change Group Holdings Pty Ltd ATF The Change Brokers Trust, and commence paying any ongoing servicing commissions to their office.

This authority is to remain in force unless otherwise advised.

Yours Faithfully,

This transfer request will only be processed on receipt of this fully completed form. Also note that if the request for transfer relates to a corporate superannuation plan, a letter from the Authorising Officer on the company letterhead confirming the transfer must also be included.

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